Methods: All four women had a faintly positive rapid HIV test. None reported a history of HIV. Each woman received prenatal care at an outside facility. Two women were placed on intravenous zidovudine for prevention of mother-to-child HIV transmission and terbutaline to slow labor while awaiting the results of additional HIV testing. One of the women given terbutaline had a caesarian section because labor progressed prior to receiving results of additional testing. The infant of this patient was placed on triple antiretroviral therapy. In all four women, HIV 1/2 supplemental differentiation assays and HIV RNA PCRs were negative. Since the initiation of 4
Results: Efforts are underway to streamline HIV testing for patients in L & D at UCM by 1) decreasing time from arrival to rapid HIV test; 2) decreasing time from positive rapid HIV test to initiating supplemental testing; 3) bringing supplemental HIV differentiation testing on site to decrease time spent in sending out specimens; and 4) improving turnaround time of HIV RNA PCR test results.
Conclusion: If HIV supplemental testing can be performed quickly after a positive rapid test, unnecessary interventions may be prevented, such as caesarian section, restriction of breast-feeding and use of antiretroviral medication for laboring women and neonates.
M. E. Acree,
A. Charnot-Katsikas, None
K. Nunes, None
A. H. Bartlett, None